Management

Currently there are no randomised trials to guide the management of Takotsubo syndrome (TTS). The Position Statement from the Taskforce on Takotsubo Syndrome of the Heart Failure Association of the European Society of Cardiology includes proposed diagnostic and management algorithms. Given the absence of randomised trial evidence, these algorithms do not replace clinical judgement (Lyon et al 2016).

Takotsubo  Syndrome Management Algorithm (Heart Failure Association of the European Society of Cardiology)1

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© 2015 Lyon et al. European Journal of Heart Failure

 

Management of Takotsubo (International Expert Consensus Document on Takotsubo Syndrome)2

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ACE, angiotensin-converting-enzyme; ARB, angiotensin-receptor blocker; AV-block, atrioventricular block; HF, heart failure; IABP, intra-aortic balloon pump; IV, intravenous; LV, left ventricle; LVAD, left ventricular assist device; LVD, left ventricular dysfunction; LVEF, left ventricular ejection fraction; LVOTO, left ventricular outflow tract obstruction; NOAC, novel oral anticoagulant; QTc, QT-time corrected for heart rate; RV, right ventricle; TTS, takotsubo syndrome; VA-ECMO, venoarterial extracorporeal membrane oxygenation; VF, ventricular fibrillation; VT, ventricular tachycardia.

© 2015 Ghadri et al. European Heart Journal

References

1Lyon, A.R., Bossone, E., Schneider, B., Sechtem, U., Citro, R., Underwood, S.R., Sheppard, M.N., Figtree, G.A., Parodi, G., Akashi, Y.J. and Ruschitzka, F., 2016. Current state of knowledge on Takotsubo syndrome: a Position Statement from the Taskforce on Takotsubo Syndrome of the Heart Failure Association of the European Society of Cardiology. European journal of heart failure, 18(1), pp.8-27.

2Ghadri, J.R., Wittstein, I.S., Prasad, A., Sharkey, S., Dote, K., Akashi, Y.J., Cammann, V.L., Crea, F., Galiuto, L., Desmet, W. and Yoshida, T., 2018. International expert consensus document on Takotsubo syndrome (part II): diagnostic workup, outcome, and management. European heart journal39(22), pp.2047-2062.